Possible Estuary-Associated Syndrome (PEAS) Following Exposure to TPC

Number of days between exposure and onset of symptoms

Has the person noted any memory loss or confusion?

• burning skin at the site of water contact?

• eye irritation and/or light sensitivity?

• upper respiratory irritation, dyspnea or cough?

• muscle cramps or aches?

• gastrointestinal symptoms (anorexia, diarrhea, abdominal pain)?

Duration of non-neurological symptoms

Does the patient show a sharp reduction in visual contrast sensitivity?

Can the symptoms all be explained by another condition?

Has the patient been treated with cholestyramine, sorbitol and Prilosec?

Did symptoms resolve after starting therapy?

Number of days between symptom onset and therapy initiation